Efficacy of Tracheostomy for Central Alveolar Hypoventilation Syndrome Caused by Lateral Medullary Infarction

Central Hypoventilation Syndrome Complicated with Lateral Medullary Infarction after Endovascular Treatment of the Vertebral Artery Dissecting Aneurysm: A Case Report

“…7) Autonomic respiration, which is important while sleep, is controlled by feedback mechanisms dependent on changes in oxygen, carbon dioxide, and pH in the blood and CSF. Only around 20 cases of CHS secondary to unilateral medullary infarction have been reported, 8) and ours is the first case induced by endovascular treatment, to the best of our knowledge.…”

Lateral medullary syndrome with Ondine's curse

“…Infection is the most common cause of death after mechanical ventilation [10]. Mishina et al inferred that tracheotomy might be effective to improve the outcome after onset of Ondine's curse due to assisting alveolar ventilation by reducing dead space ventilation [11]. Performing the Polysomnogram (PSG) for LMS patients, especially for those patients with high risks, is quite important for the prevention of Ondine's curse.…”

Central Hypoventilation Syndrome in Posterior Circulation Stroke Treated by Respiratory Rehabilitation: a Case Report

“…The abnormal periodic breathing with apnea is regarded as sequelae of extensive cerebrovascular accidents and regularly found immediately after stroke, then markedly declines 3 and 6 months into recovery [3,17]. The prevalence of automatic breathing failure after stroke has not been estimated so far, although some cases in medullary lesions have been reported [2,4,5,16,[18][19][20][21][22][23][24][25][26]. The prognosis was usually poor with recurrent apneic event followed by re-intubation, and ended with death because of respiratory arrest, pneumonia, and sepsis [19,20,23,24,26].…”

“…Central hypoventilation with brainstem stroke has been rarely reported since 1962 [2]. There is no definite consensus regarding diagnosis or treatment options, and the prognosis is usually unpredictable, although the condition is often fatal [3][4][5]. Also, there has been no report of respiratory rehabilitation and ventilator weaning process for central hypoventilation so far.…”